Untray T Brown DDS PLLC
Dentist, Pediatric Dentistry in Brooklyn, NY. Organization (NPI-2).
NPI number1154592004
StatusActive
Last updated in NPPESMar 19, 2008
Details
- NPI
- 1154592004
- Entity type
- Organization (NPI-2)
- Legal business name
- Untray T Brown DDS PLLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2008
- Last updated
- Mar 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 046243 | NY | Yes |
Other names
- Fort Greene Pediatric Dental (Doing Business As)
Practice location
55 Greene AvenueSuite C
Brooklyn, NY 11238
Phone 718-230-7676 · Fax 718-230-7776
Mailing address
55 Greene AvenueSuite C
Brooklyn, NY 11238
Phone 718-230-7676 · Fax 718-230-7776
Authorized official
Untray Tyrone Brown
Pediatric Dentist
7182307676
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